Pharm- CHF

Question 1

Diuretics- Use

Answer 1

• Symptomatic relief
• PRN use (certain pts), titrate edema, SOB , weight
• Predominately loop diuretics

Question 2

ACEI/ ARB- Use

Answer 2

• Improved mortality for systolic HF
• Improved hemodynamics, exercise, symptoms
• Fewer tx failure, hospitalization

Question 3

Beta blockers- Use

Answer 3

• Improved morbidity & mortality
• Stop heart remodeling
• Increased EF, decrease in cathecholimine
• Don’t use in hemodynamically unstable!